Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $241.05 / $379.30 / $412.78	Facility	26	$241.05	$379.30	$412.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $293.50 / $421.51	Professional		$262.70	$293.50	$421.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.86 / $407.85 / $577.64	Professional		$256.86	$407.85	$577.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $420.54 / $690.37	Professional		$289.00	$420.54	$690.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.69 / $411.38 / $682.04	Professional		$274.69	$411.38	$682.04
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $235.35 / $341.71 / $755.96	Professional	26	$235.35	$341.71	$755.96
Hally Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $338.77 / $340.09 / $361.31	Professional		$338.77	$340.09	$361.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $57.62 / $377.98	Professional		$32.34	$57.62	$377.98
United Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $393.08 / $623.69	Professional		$261.14	$393.08	$623.69